Individual provider · Type 1 NPI

Johana F. Duque, PA

Medical Physician Assistant · Lauderdale Lakes, FL

NPI number 1497057350 Active

Practice location

4850 W Oakland Park Blvd, 201
Lauderdale Lakes, FL 33313-7260

Fax (954) 735-7908

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105593 (FL)

Medical Physician Assistant: Definition to come...

53 other providers at this address

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About NPI 1497057350

Johana F. Duque, PA's National Provider Identifier is 1497057350, issued on Nov 29, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Jul 20, 2016.